LINCOLN COUNTY RADIOLOGY LLC (NPI# 1124039235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124039235 |
| Entity Type | Organization |
| Organization Name | LINCOLN COUNTY RADIOLOGY LLC |
| Practice Address |
211 Sudderth Dr Ruidoso NM 88345 |
| Mailing Address |
205 W Boutz Rd Bldg 1 Las Cruces NM 88005 |
| Practice Telephone | 5752578200 |
| Mailing Telephone | 5755327000 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2009-06-30 |
| Authorized Official Name | DONALD A. WOLFEL (PRESIDENT) |
| Authorized Official Telephone | 5755327000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | DG0346 | 01 | |
| NM | 22285 | 05 |
| Street Address |
211 SUDDERTH DR |
| City | RUIDOSO |
| State | NM |
| Zip Code | 88345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545418 | Michael David Noltensmeyer | Nurse Anesthetist, Certified Registered | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2005-06-01 |
| 1144843491 | Presbyterian Healthcare Services | Medicare Defined Swing Bed Unit | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2020-05-21 |
| 1285253682 | Presbyterian Healthcare Services | Medicare Defined Swing Bed Unit | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2020-04-15 |
| 1144791435 | Michael Padilla | Pharmacist | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2018-12-11 |
| 1932659000 | Natalie Mcelhany | Nurse Practitioner | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2016-10-12 |
| 1184170185 | Francisco J Vargas Nava | Emergency Medicine | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2016-08-30 |
| 1396802864 | Presbyterian Healthcare Services | Emergency Medicine | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2007-01-03 |
| 1932209822 | Charles L Pfaff | Radiology | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2006-09-22 |
| 1376552810 | Paul S Gulbas | Ophthalmology | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2006-08-05 |
| 1407890643 | Bradford Lee Cambron | Emergency Medicine | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2006-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295386373 | Angela Louise Chavez | Physical Therapy Assistant | 143 El Paseo Road, Ruidoso, NM 88345 | 2019-09-20 |
| 1740744630 | Aspen Creek Counseling, PC | Community/Behavioral Health | 212 Hidalgo St, Ruidoso, NM 88345 | 2019-01-25 |
| 1659729960 | Clinical Counseling, Rebekah Stephens LLC | Community/Behavioral Health | 105 Socorro Circle, Ruidoso, NM 88345 | 2016-05-26 |
| 1013288208 | Emily Jane Fleming | Counselor | 2904 Sudderth Dr, Ruidoso, NM 88345 | 2012-01-19 |
| 1376810572 | Ronald Lee Annala | Specialist | 101 Annala Lane, Ruidoso, NM 88345 | 2011-11-17 |
| 1801171731 | Felicia Yelena Fontenot | Dentist | 127 El Paso Road, Ruidoso, NM 88345 | 2011-10-11 |
| 1497072730 | Richard G Leveque | Counselor | 206 Porr Dirve, Ruidoso, NM 88345 | 2010-04-27 |
| 1871827899 | Delcia Maurice Gudgel | Counselor | 1400 Sudderth Drive, La Frontera, Ruidoso, NM 88345 | 2009-09-23 |
| 1740413541 | Yolanda Nelson | Case Manager/Care Coordinator | 208 Sudderth Dr, Ruidoso, NM 88345 | 2009-08-26 |
| 1164697280 | Elizabeth Urban Candelaria | Social Worker | 1400 Sudderth Dr., Ruidoso, NM 88345 | 2008-04-29 |
| Find all providers in zip 88345 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932209822 | Charles L Pfaff | Radiology | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2006-09-22 |
| 1033160866 | Donald Wolfel | Radiology | 211 Sudderth Dr, Ruidoso, NM 88345 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124658299 | City Mobile Ultrasound, LLC | Radiology | 524 Richmond Dr Se, Albuquerque, NM 87106-2328 | 2020-01-17 |
| 1013407964 | Erika Jane Starks | Radiology | Radiology Msc 10-5530 1 University of New Mexico, Albuquerque, NM 87131-5040 | 2018-05-16 |
| 1700331196 | Joseph B. Furlong, P.a. | Radiology | 190 Howard Place, Suite A, Las Cruces, NM 88011 | 2016-08-16 |
| 1588028393 | Prime Digital Radiology, PC | Radiology | 9 W Alary Ln, Corrales, NM 87048-8396 | 2016-04-07 |
| 1700229523 | Martha F Terrazas | Radiology | Msc 10 5530 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-04-11 |
| 1922341585 | Katherine Nicole Epstein | Radiology | Msc10 5530 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-04-02 |
| 1962745869 | Joshua Eric Rider | Radiology | Unmh, 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2013-03-29 |
| 1346506904 | Andrew Bruner | Radiology | Msc 10-5550 1, University of New Mexico, Albuquerque, NM 87131 | 2012-04-09 |
| 1942576145 | Douglas James Alden | Radiology | 373 Big Horn Ridge Dr Ne, Albuquerque, NM 87122-1424 | 2012-04-02 |
| 1689947921 | Robert Johnson | Radiology | 804 Piedra Vista Rd Ne, Albuquerque, NM 87123-1954 | 2012-02-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.